Cygnet Joyce Parker Hospital

At our last assessment we did not rate this key question. This is the first rated assessment for this service. We looked for evidence that service leadership, management and governance assured high-quality, person-centred care; supported learning and innovation; and promoted an open, fair culture.

This key question has been rated as requires improvement. This meant that management and leadership was inconsistent. Leaders did not always ensure the delivery of high-quality, person-centred care. We found concerns that leader’s governance processes did not always identify or act upon. These included staff not completing risk management plans for all patients, managers not identifying all ligature points and blind spots, staff not involving patients in their care and treatment and staff not providing a full range of activities for patients.

However, leaders were now alert to signs of a closed culture and took action to prevent this. Leaders actively promoted staff empowerment to drive improvement. They encouraged staff to raise concerns and promoted the value of doing so. Leaders were open and transparent, and they collaborated with all relevant external stakeholders and agencies. 

The service was in breach of regulations for governance of the service.